Individual provider · Type 1 NPI

Meredith N. Revell, PA

Physician Assistant · Southlake, TX

NPI number 1255777900 Active

Practice location

431 E State Highway 114 Ste 300
Southlake, TX 76092-1484

Fax (817) 442-0050

Mailing address

9900 N Central Expy Ste 500
Dallas, TX 75231-0928

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA08375 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255777900

Meredith N. Revell, PA's National Provider Identifier is 1255777900, issued on May 21, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southlake, TX. The record was last updated on Jul 29, 2025.